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Arizona rates for HCPCS J7208

Injection, Factor VIII, (antihemophilic factor, recombinant), PEGylated-aucl, (Jivi), 1 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $5.30 / $7.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $3.21 / $5.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $9.16 / $13.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $2.57 / $16.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.65 / $2.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $3.50 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $2.45 / $4.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65